Individual
DR. BRIAN CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2435 PLANTATION CENTER DR, SUITE 100, MATTHEWS, NC 28105-5147
(773) 934-9368
Mailing address
2435 PLANTATION CENTER DR, SUITE 100, MATTHEWS, NC 28105-5147
(773) 934-9368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9192
NC
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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